29/03/2026
A 5 Yr old child was brought to emergency by parents with a fall from height and sustaining injuries to his Rt elbow and face.
On examination the Rt elbow was grossly deformed and swollen and there was no radial pulse with absent finger & thumb movements.
On xray Supracondylar Humerus fracture was identifed and parents were counselled regarding immediate reduction of the fracture to save the limb.
A trial of closed reduction was done in emergency with slight traction-counter traction and manipulation and from a severely deformed elbow near anatomical alignment was maintained and limb was placed in slab, post reduction the hand perfusion was found to be ok but still no pulses, so patient was taken up for surgery under short sedation, with c arm imaging the fracture was appropriately reduced and fixed with 2 lateral k wires in divergent direction, post fixation the reduced fragment was checked with full range of movement under fluroscopy/continous imaging and was found to be stable.
So the wires were bent and cut outside skin and a posterior slab was applied. Pulse was assesed every 2hrly post procedure, with SP02 immediately after procedure coming out to be 100 percent the pulse was localised after 5-6 hours of procedure and finger movements were also noted.
The child was discharged the next day after procedure with a fully functional hand movements and a smile on parents face✌️
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